10/29/2014 Indian Ordnance Factory

https://www.i-register.co.in/ioforeg/frmApplicationPrint.aspx 1/2
Indian Ordnance Factories

Advertisement No. 10201/11/0567/1415
Direct Recruitment Chargeman
APPLICATION FORM
Registration No. : 14CH120197
Registration Date & Time : 31-07-2014 22:06:00
Trade : Chemical
Center Choice 1 : Kolkata Center Choice 2 : Kanpur
Unit Choice 1 Unit Choice 2 Unit Choice 3
Ordnance Factory Kanpur Ordnance Factory Board Ordnance Factory Itarsi
Applicant's Name :
(First Name) (Middle Name) (Last Name)
ANIKET CHAKI
Father's Name : PRADIP KUMAR CHAKI
Mother's Name : JAYANTI CHAKI
Spouse's Name :
Date of Birth : 01-02-1992
Gender : Male
Nationality : Indian
Category : UR
Whether Departmental Candidate : No
Whether Ex-Servicemen : No
Physically Handicapped : No
Candidates who had ordinarily been domiciled in the State
of Jammu & Kashmir during period from 1st Jan 1980 to
31st Dec 1989
: No
Whether belong to Minority Community : No
Medium of Examination : English
Educational Qualification (General) :
Educational Qualification School / Inst. Year of Passing
SSLC/10th DR VSEC KIDWAI NAGAR KANPUR 2007
HSC/12th DR VSEC KIDWAI NAGAR KANPUR 2009
Technical/Non Technical Qualification (General) :
Qualification Trade/Discipline Institutions Year of Passing
B.TECH Chemical JAYPEE UNIVERSITY OF ENGINEERING AND TECHNOLOGY 2014
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Address For Correspondence :
:
:
:
128/505
Y BLOCK
KIDWAI NAGAR
10/29/2014 Indian Ordnance Factory
https://www.i-register.co.in/ioforeg/frmApplicationPrint.aspx 2/2
City/Town/Village
District
State
Tel No.
:
:
:
:
KANPUR
KANPUR
UTTAR PRADESH - 208011
0512-2618711
Email ID : aniketchaki101410@gmail.com
Mobile No. : 9454031299
Nearest Railway Station : KANPUR
Payment Details :
Bank Name Branch Code Challan No. Deposit Date Deposit Amount
STATE BANK OF INDIA 00107 17251142 01-08-2014 100
Declaration :
I have not submitted any other applications for this examination. I am aware that if I contravene this rule, my application will be rejected summarily by the commision.
I have read the provisions in the Notice of the examination carefully and i hereby undertake to abide by them.
I further declare that I fulfill all the conditions of eligibility regarding age limits, educational qualifications, and technical qualifications etc., prescribed for admission to the
examination. I understand that in the event of ineligibility being detected at any point (before or after the examination), may candidature/appointment is liable to be
cancelled.
I also declare that I do not stand debarred by any of the Ordance Factories as on date and have never been convicted by any court of law. I also declare that no charge
sheet is pending against me in any court of law. Further declare that I have never been dismissed or removed from Govt. Service or my service been terminated during
probation.
For all Candidates:
I hereby declare that all statements made in this application are true , complete and correct to the best of my knowledge and belief. i understand that in the event of any
information being found suppressed/false or incorrect ot ineligibility being detected before or after the examination, my candidature/appointment is liable to be cancelled.
Please Paste your Color
Photograph 3.5 x 3.5 cm not
older than 3 months.
Registration No. : ______14CH120197________
Name : _________________________
Date : _________________________
Place : _________________________
________________________________________________
Signature of the Candidate
Note To Candidates :
* Please keep one photocopy of the Acknowledgement Slip for future reference.
* UR/OBC Candidates, who are eligible to pay fees MUST ENCLOSE Original Bank PAY IN SLIP alongwith the Registration Slip duly signed and Photo
affixed.
* The Envelope must be sent by Ordinary Post to the below address.
* Do not write 'Indian Ordnance Factories' in the Postal Address.
Post Box No. 2091
Chennai 600020.
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